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Lambert et al. 2022. Physical activity and exercise recommendations for people receiving dialysis A scoping review.pdf (927.83 kB)

Physical activity and exercise recommendations for people receiving dialysis: A scoping review

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posted on 2023-03-10, 14:47 authored by K Lambert, CJ Lightfoot, DK Jegatheesan, I Gabrys, PN Bennett

Introduction Remaining physically active is important to patients undertaking dialysis, however, clinical recommendations regarding exercise type, timing, intensity, and safety precautions vary. The purpose of this scoping review was to analyse and summarise recommendations for physical activity and exercise for people undertaking dialysis and identify areas that require further research or clarification. 

Materials and methods A scoping review of literature from five bibliographic databases (Medline, Scopus, Web of Science, CINAHL, and SPORTDiscus) was conducted. Eligible articles included consensus guidelines, position statements, reviews, or clinical practice guidelines that included specific physical activity and exercise recommendations for people undertaking dialysis. Key search terms included "kidney disease" OR "kidney failure" OR "chronic kidney disease" OR "end stage kidney disease" AND guideline* OR consensus OR "position statement" OR prescription OR statement AND exercise OR "physical activity". Hand searching for relevant articles in all first twenty quartile 1 journals listed on SCImago under ‘medicine—nephrology’ and ‘physical therapy, sports therapy and rehabilitation’ using the terms ‘exercise and dialysis’ was undertaken. Finally, home pages of key societies and professional organisations in the field of sports medicine and nephrology were searched. 

Results The systematic search strategy identified 19 articles met the inclusion criteria. Two were specific to pediatric dialysis and three to peritoneal dialysis. Whilst many publications provided recommendations on aerobic exercise, progressive resistance training and flexibility, few provided explicit guidance. Recommendations for the intensity, duration and frequency of aerobic and resistance training varied. Discrepancies or gaps in guidance about precautions, contraindications, termination criteria, progression, and access site precautions were also apparent. 

Conclusion Future guidelines should include specific guidance regarding physical activity, safety precautions, and timing and intensity of exercise for individuals who undertake dialysis. Collaborative multidisciplinary guideline development and appropriate exercise counselling may lead to increased participation in physical activity and exercise and facilitate better patient outcomes.

Funding

KL. Funding was received from the Illawarra Health and Medical Research Institute for this work.

History

Citation

Lambert K, Lightfoot CJ, Jegatheesan DK, Gabrys I, Bennett PN (2022) Physical activity and exercise recommendations for people receiving dialysis: A scoping review. PLoS ONE 17(4): e0267290. https://doi.org/10.1371/journal. pone.0267290

Author affiliation

Department of Health Sciences

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  • VoR (Version of Record)

Published in

PLoS ONE

Volume

17

Issue

4

Pagination

e0267290

Publisher

Public Library of Science (PLoS)

issn

1932-6203

eissn

1932-6203

Acceptance date

2022-04-05

Copyright date

2022

Available date

2023-03-10

Spatial coverage

United States

Language

eng

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